Washington State Health Care Authority joins Regence’s episodic payment program
Regency added its largest client to its value-based Episodes of Care program, with the signing of the Washington State Health Care Authority effective January 2022.
Providers enrolled in episodes of care are encouraged to view care from an end-to-end perspective and to provide high-quality, coordinated care at low cost throughout an episode of care, which the insurer, can last from 30 days to a year.
The Health Care Authority is the state’s largest purchaser of health care, Regence said, and its members include public sector employees, school workers, retirees and their eligible dependents. The organization will involve 363,000 people in the Episodes of Care program.
“Our responsibility with Episodes of Care is to work closely with providers to deliver a more coordinated experience and lower costs for patients,” said Marion Couch, MD, senior vice president of health services and chief medical officer de Regence, in a press release.
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“The initial results and the addition of major employers and new procedures add to the momentum of the program and will ultimately help us bring this innovative approach to care to more people in our region,” said Couch. .
To date, the program has reduced the episodic costs of orthopedic procedures by 16% from what these procedures have cost historically, Regence said. The insurer has also extended the program to cardiac procedures, gastrointestinal conditions and maternity care.
Providers are reimbursed based on outcomes and cost reductions during the episode of care, Regence said. Episodes of Care is a partnership with Signify Health, a platform that manages episode-based payments and helps providers and health plans track results.
“As we continue our value-based buying journey, the Episodes of Care program is a great example of what we want to focus on: delivering improved patient outcomes and experiences, coordinated care and reduced costs. Washington State Health Care Authority chief medical officer Judy Zerzan, MD, said in a statement.